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  Regular Agenda Item     4. E.    
Regular BOS Meeting
Meeting Date: 08/17/2020  
Submitted For: Michael O'Driscoll
Submitted By: Nancy Rutherford, Health Programs Manager
Department: Health & Emergency Management Division: Health Services

Information
Request/Subject
Approval of Intergovernmental Agreement (Contract No. IGA2020-017) with the Arizona Department of Health Services (ADHS) which replaces Contract No. ADHS16-098369 for the continued provision of Healthy People Healthy Communities program services.
Background Information
The ADHS has integrated multiple grants into one Intergovernmental Agreement (IGA) and the title of the new integrated contract is called "Healthy People Healthy Communities." Implementation of this IGA was completed in three (3) phases.

Phase 1: The Tobacco Free, Chronic Disease, and Health in Arizona Policy Initiative (HAPI) grants were integrated and implemented on July 1, 2015;

Phase 2: The Public Health Services block grants were integrated and implemented on October 1, 2015; and,

Phase 3: The Teen Pregnancy Prevention, Family Planning, and the Maternal and Child Health grants were integrated and completed on June 30, 2016.

The original Contract No. ADHS15-094962 was signed by the Board of Supervisors on June 9, 2015, and then due to a system change at ADHS, the contract number was changed to No. ADHS16-098369 and approved by the Board of Supervisors on September 15, 2015 under Amendment No. 1. It integrated the Phase 3 grants into one contract entitled "Healthy People Healthy Communities." The total amount of the new contract is $360,682.

Amendment No. 2 was approved by the Board at its February 16, 2016, regular meeting. It increased the total grant award by $13,124, raising the total contract to $373,806. This additional funding allowed Gila County to assist ADHS in administering a survey to more clearly understand the experience of families in meeting their children's special needs across the state.

Amendment No. 3 was approved by the Board at its May 3, 2016, regular meeting. It continued the integration of grant funding into one contract and replaced several sections, exhibits, and price sheets in the original contract to those identified in this amendment. This allowed the Gila County Health and Emergency Management Department to continue to provide essential services to our communities.

Amendment No. 4 was approved by the Board on October 18, 2016. This increased the contract amount with ADHS in the amount of $47,090 to continue preparing for national accreditation.

Amendment No. 5 was approved by the Board on July 18, 2017, which initiated participation in Healthy Arizona Worksite Program (HAWP). This amendment allowed the Gila County Public Health Division to implement influenza vaccinations at the Gila County Department of Health and Emergency Management worksite.

Amendment No. 6 was approved by the Board on December 5, 2017, and included a revision to the IGA price sheet for the Preventive Health and Health Services Block grant in the amount of $36,630. This allowed the Gila County Department of Health and Emergency Management to continue working towards national accreditation.

Amendment No. 7 was approved by the Board on August 7, 2018, which reflected the addition of one-quarter of $12,210 for the accreditation program and an updated scope of work.

Amendment No. 8 was approved by the Board on December 18, 2018, and included a revised price sheet for 3 additional quarters of public health accreditation work.

Amendment No. 9 was approved by the Board on September 17, 2019, and a price sheet that included 4 additional quarters of funding for the Health in Arizona Policy Initiative in the amount of $56,649.36. This funded our public health work in the areas of Alzheimer's, Chronic Pulmonary Disease, Hypertension, Disease Self-Management, Healthy Community Design, School Health, Worksite Wellness, Clinical Care, and Special Health Care Needs.
Evaluation
A new contract is being implemented to replace previous Contract No. ADHS16-098369 but provides the same services as outlined in the the previous contract which contains a total of 9 amendments.

Contract No. IGA202-017 includes a revised price sheet totaling $412,711.08. This funding will further our efforts to impact policy, system, and environmental change at the community, organizational, individual, and policy levels in order to promote county-wide health changes so that public health impact will be maximized. Programs funded within this contract include Tobacco, Health in Arizona Policy Initiative, Public Health Improvement, Teen Pregnancy Prevention, and Child Fatality Review.
Conclusion
Approval of Contract No. IGA2020-017 will further efforts to impact policy, system, and environmental change at the community, organizational, individual, and policy levels in order to promote county-wide health changes so that public health impact will be maximized. Programs funded within this contract include Tobacco, Health in Arizona Policy Initiative, Public Health Improvement, Teen Pregnancy Prevention, and Child Fatality Review.
Recommendation
It is the recommendation of the Health and Emergency Management Department Director that the Board of Supervisors approve Contract No. IGA2020-017 to renew Intergovernmental Agreement Contract No. ADHS16-098369 to further our efforts to impact policy, system, and environmental change at the community, organizational, individual, and policy levels in order to promote county-wide health changes so that public health impact will be maximized.
Suggested Motion
Information/Discussion/Action to approve an Intergovernmental Agreement (Contract No. IGA2020-017) in the amount of $412,711.08 beginning July 1, 2020 through June 30, 2025 that is between the Arizona Department of Health Services and Gila County Health and Emergency Management Department which replaces Contract No. ADHS16-098369 to continue providing services under the Healthy People, Healthy Communities Program. (Michael O'Driscoll)

Attachments
Intergovernmental Agreement (Contract No. IGA2020-017)
Amendment No. 9
Amendment No. 8
Amendment No. 7
Amendment No. 6
Amendment No. 5
Amendment No. 4
Amendment No. 3
Amendment No. 2
Amendment No. 1
Revised Original Contract
Original Contract

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